Novel noninvasive measuring method for left ventricular end diastolic pressure

A technology of left ventricle and new method, applied in the direction of cardiac catheterization, vascular evaluation, etc., can solve the problems of high cost, limited clinical application, unsatisfactory accuracy and specificity, etc.

Inactive Publication Date: 2013-02-06
袁丽君 +2
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Problems solved by technology

At present, most of the left ventricular end-diastolic pressure is measured clinically through invasive cardiac catheterization. This method is expensive, has many complications, and is invasive, and its clinical application is also greatly limited.
In addition, according to the ultrasonic Doppler pulmonary regurgitation velocity, the method of calculating the transpulmonary valve pressure by simplifying the Bernoulli equation and adding the right atrial diastolic pressure to roughly calculate the left ventricular diastolic pressure also has great limitations. Depends on the presence of pulmonary regurgitation, clinically about 1 / 4 to 1 / 5 of the patients do not have pulmonary regurgitation, and the calculated value is only an approximation
However, there is currently a lack of non-invasive, accurate, and simple methods for measuring left ventricular end-diastolic pressure clinically, which limits the screening and accurate diagnosis of patients with suspected and asymptomatic left ventricular diastolic dysfunction
The accuracy and specificity of the existing evaluation methods for left ventricular end-diastolic pressure are not ideal, and there is an urgent need for a non-invasive, accurate and simple method for measuring left ventricular end-diastolic pressure in clinic

Method used

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Embodiment Construction

[0007] In order to realize the new method of non-invasive measurement of left ventricular end diastolic pressure involved in this patent, the specific implementation is as follows: the new method proposed by the present patent needs to measure two pressure components, one is the transpulmonary valve pressure and the other is the right ventricular diastolic pressure. The accurate measurement of the two pressures determines whether the new method is accurate, so accurate and simple measurement of the above pressure becomes the key. In the implementation process, the following specific measures can be taken: 1. When the pulmonary valve is opened by reducing the internal pressure of the lung through the Mueller action, record the pressure change displayed on the chest pressure measurement device at the moment when the pulmonary valve forward blood flow appears in the end diastole. Can accurately obtain transpulmonary valve pressure. Mueller action is the action of inhaling forceful...

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Abstract

The invention provides a novel noninvasive measuring method for a left ventricular end diastolic pressure, which belongs to the field of medical cardiovascular systems and can be applied to fundamental research of the field and clinical diagnosis and treatment of related diseases. At prevent, a noninvasive left ventricular end diastolic pressure measuring method is lacked in clinics and screening and accurate diagnosis of patients with suspicious and asymptomatic left ventricular end diastolic dysfunctions are restricted. The invention provides a method capable of non-invasively, accurately, simply and conveniently measuring the left ventricular end diastolic pressure; on the basis of the human body hemodynamic principle and the relation between pressure in each chamber of the heart and pressure in the lung, a pulmonary valve is open in diastole in advance by means of intrapulmonic pressure variation caused by Muller action; transpulmonary valvular pressure at the moment is non-invasively measured through a self-made face mask and an ultrasonic cardiograph; and right ventricular diastolic pressure can be non-invasively measured, so that the left ventricular end diastolic pressure is obtained.

Description

Technical field [0001] The patent of the present invention relates to a new method for non-invasive measurement of left ventricular end diastolic pressure, and the non-invasive measurement of left ventricular end diastolic pressure can be realized by using the patent of the present invention. This patent is a new invention in the field of medical cardiovascular system, which can be applied to basic research in this field and clinical diagnosis and treatment of related diseases. Background technique [0002] Left ventricular diastolic dysfunction is the most common and earliest abnormal cardiac function, which can be an independent cause of death. It is of great significance to improve the prognosis if the diagnosis can be made before the patient has symptoms. The American College of Cardiology Guidelines for the Diagnosis and Treatment of Chronic Heart Failure (ACC / AHA Practice Guidelines) point out that the early detection of asymptomatic left ventricular diastolic dysfunction ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B5/021
Inventor 袁丽君曹铁生王臻
Owner 袁丽君
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